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Juvenile Myasthenia Gravis: Three Case Reports and a Literature Review

Departments of Neurology and Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky

Jeffrey Bolton, MD

Departments of Neurology and Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky

Vinay Puri, MD

Departments of Neurology and Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky, Division of Child Neurology, University of Louisville School of Medicine, Louisville, Kentucky, v0puri01{at}gwise.louisville.edu

Juvenile myasthenia gravis is a rare disorder acquired in childhood, representing 10% to 15% of all cases of myasthenia gravis. Like the adult form, it is generally characterized by an autoimmune attack on acetylcholine receptors at the neuromuscular junction. Most patients present with ptosis, diplopia, and fatigability. More advanced cases may also have bulbar problems and limb weakness. Left untreated, the disease may progress to paralysis of the respiratory muscles. Early recognition of this disease helps avoid unnecessary testing, prevent undue parental anxiety, and stop the progression of symptoms. Here, we relate the clinical course and current status of 3 patients with juvenile myasthenia gravis, discuss the disease in general, and review current treatment modalities.

Key Words: juvenile myasthenia gravis • autoimmune disease • neuromuscular disease

Journal of Child Neurology, Vol. 24, No. 5, 584-590 (2009)
DOI: 10.1177/0883073808325651


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